Individual
TRAVIS LEISTIKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3316
Mailing address
325 9TH AVE, SEATTLE, WA 98104-2420
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
LR00001858
WA
227900000X
Registered Respiratory Therapist
LRT-432
ID
Other
Enumeration date
01/28/2017
Last updated
01/28/2017
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